Job Description

Health Claims Relationship Manager- S&F - Claims - Health- 2+ years- BangaloreLocation- BangaloreSummary: We are looking for a Health Claims Relationship Manager to join our team. In this role, you will act as the face of our company, interacting directly with customers and guiding them through the claims process. You will ensure that every customer has a smooth and satisfactory experience while working to resolve any issues that arise in claims processing. You will play a key role in strengthening customer relationships, driving customer satisfaction, and ensuring our health claims processes are efficient and customer-friendly.Key Responsibilities:1-Customer Relationship Management: Build and maintain strong, trusting relationships with clients, serving as the spokesperson for us in addressing any concerns related to claims.2-Claims Assistance: Guide customers through the health insurance claims process, explaining underwriting decisions, and ensuring clarity in policy terms and conditions.3-Problem Resolution: Investigate and resolve any issues or complaints related to claims processing to ensure customer satisfaction.4-Process Improvement: Identify gaps in existing systems and processes that may be causing recurring issues and work towards fixing them to improve the overall customer experience.5-Customer Needs Assessment: Identify customer needs and provide solutions that might span across multiple organizational functions.6-Collaboration: Work closely with internal teams to enhance brand equity and improve the claims experience.7-Customer Satisfaction Tracking: Monitor customer feedback and satisfaction levels, taking proactive steps to address any concerns and continuously improve service.Requirements:1-Required QualificationsEducational Background: Bachelor\'s degree or equivalent experience. MBBS/BAMS/BHMS/BUMS/BDS qualifications are preferred.Experience: Minimum of 2 years of experience in core health insurance processes, including claims processing and underwriting.Industry Knowledge: Strong understanding of health insurance products, claims processing, and relevant industry regulations.2-Key SkillsCommunication: Excellent verbal and written communication skills, with the ability to explain complex concepts clearly and empathetically to customers.Problem-Solving: Strong analytical and problem-solving abilities to investigate and resolve customer concerns.Relationship Management: Proven ability to build rapport and trust with clients and internal teams alike.Process Improvement: A proactive mindset to identify opportunities for process optimization.Customer-Centric: Ability to understand and relate to customer experiences, ensuring that their concerns are addressed with compassion and professionalism.3-Desired SkillsHealthcare Industry Knowledge: Experience in the healthcare industry and knowledge of multiple health insurance carriers will be an advantage.Multilingual Abilities: Bilingual or multilingual candidates are encouraged to apply.CARE Values: Embodying the CARE values-Compassionate, Accountable, Responsive, and Expert-to deliver outstanding customer service.What is in it for you:We value innovation, inclusivity, and growth. You\'ll join a dynamic, vibrant workplace where your ideas matter, and your career can evolve with the company. We offer a competitive salary, benefits, and ample opportunities for professional development.If you have a passion for health insurance, a customer-first mindset, and a drive to improve processes, we encourage you to apply!Reach us: If you think this role is aligned with your career, kindly write me an email along with your updated CV on bhavika.joshi@crescendogroup.in for a confidential discussion on the role.Disclaimer: Crescendo Global is specializes in Senior to C-level niche recruitment. We are passionate about empowering job seekers and employers with an engaging memorable job search and leadership hiring
experience. Crescendo Global does not discriminate on the basis of race, religion, color, origin, gender, sexual orientation, age, marital status, veteran status or disability status.Note: We receive a lot of applications on a daily basis so it becomes a bit difficult for us to get back to each candidate.Please assume that your profile has not been shortlisted in case you don\'t hear back from us in 1 week. Your patience is highly appreciatedProfile Keywords: Health claims, underwriting ,Crescendo Global.

Crescendo Global